| NPI | 1730602913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAETAN NTEZEH NKEMZI Program Director 520-250-7898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH5236) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |